YOUR PREGNANCY

Your pregnancy is an exciting time of your life. Whether this is your first or fifth pregnancy, our nurse practitioner and board certified physicians are happy to educate and answer your questions. Please read through the information below before your visit in order to help us make your pregnancy a happy, stress-free experience. We deliver at Royal Oak Beaumont hospital which includes the Karmanos Natural Birth Center.

WEEK 4 - 8

The first visit (weeks 4-8): also called the missed menses or confirmation appointment: A pregnancy test
confirms your pregnancy. Your family and personal history reviewed.
Please review the below links concerning genetic screening options available at your next visit.

Call your insurance company and confirm you have Obstetric coverage and if you have a deductible and/or co-insurance, so you can plan for these costs. If you do not have obstetric coverage we will discuss the fees at your first visit or feel free to contact our billing department.

Week 8-12

An ultrasound may be performed to determine an accurate due date (EDC). Routine Labs will be drawn and any other testing you and your provider deem appropriate.

Week 18-20

An anatomy ultrasound will be ordered

Week 26-28

Screening for diabetes in pregnancy is performed on every patient. If you are at increased risk you may also be screened in the first trimester. This appointment should be made with the Nurse Practitioner. You do not need to fast. She will discuss childbirth classes, breastfeeding and other important information. A Pertussis immunization is recommended by the CDC, ACOG, and American Academy of Pediatrics. For more info about TdaP and other immunizations in pregnancy click here

Week 35-36

Group B strep screening will be performed. Learn more about B strep and pregnancy

Week 39-41

Most patients will go into labor. Here are the signs/symptoms of labor and when you should call our office: Any leakage of amniotic fluid, contractions every 5 minutes painful enough that you cannot hold a conversation, bleeding more than pinkish discharge or decreased movement of your baby. If you are unsure or have any questions please call our office. During office hours please go to the nurse line.